Previous Reference:  Minute 6 (2019/20)

Members are reminded that at the Septembers meeting of the Board it was noted that the Early Help and Prevention Project required some additional time for consultation and finalisation of the plans therefore, it was proposed that further discussions take place at the Health and Wellbeing Board Development Session in October 2019 and that the project should be formally discussed at the Health and Wellbeing Board meeting in November 2019.

In accordance with the above the Chief Executive, Bradford Metropolitan District Council will submit Document “H”  which requests members to:

·      agree to support the design principles for Prevention and Early Help across Bradford District. This is a whole system approach that enables effective cross system working for the benefit of communities and those in need of support.

·      give agreement to support the progress of a number of work-streams including: the development of a district wide out of hours vulnerability information sharing unit and all age “front door” early help hub. 

·      agree the final work-stream is a prevention and early help pilot which will be run in the Keighley area of the District.

Recommended-

That it is recommended that the Health and Wellbeing Board supports:

·         the formation of a District wide out-of-hours co-ordinated function.

·         the formation of a District wide all age “front door” hub.

·         a pilot to be run in the Keighley area with the creation of a locally based all-age Prevention and Early Help Centre which will have 3 related work-streams, Place, People and developing integrated locality services.  This will then be evaluated with a view to roll out District wide if successful.

·         a commitment to supporting the Early Help and Prevention project.

                             (Supt Sally Fryer – 01274 376418)

Previous Reference:  Minute 6 (2019/20)

Members were reminded that at September’s meeting of the Board it was noted that the Early Help and Prevention Project required some additional time for consultation and finalisation and therefore, it was proposed that further discussions took place at the Health and Wellbeing Board Development Session in October 2019 and that the project should be formally discussed at the Health and Wellbeing Board meeting in November 2019.

In accordance with the above the Chief Executive, Bradford Metropolitan District Council submitted Document “H” which requested members to:

·       agree to support the design principles for Prevention and Early Help across Bradford District. This was a whole system approach that enabled effective cross system working for the benefit of communities and those in need of support.

·       give agreement to support the progress of a number of work-streams including: the development of a district wide out of hours vulnerability information sharing unit and all age “front door” early help hub. 

·       agree the final work-stream was a prevention and early help pilot which would run in the Keighley area of the District.

Board Members were informed that:

·         An All Age Prevention and Early Help Board had been established and met on a monthly basis.

·         The project would allow for greater coherence and co-ordination of partner agencies for individuals in need of support.

·         The project would increase collaboration and put the person in need at the centre of discussions; it would allow all organisations to work together as a system to find the best approach for the individual/family/community whilst also creating efficiencies through processes and offering help at an earlier stage, thereby reducing demand on specialist services.

·         From the consultation already undertaken, there were 3 distinct pieces of work which had been identified as priorities for the project which were detailed in the report and included Out of Hours Vulnerability Unit, One Front Door including Multi-agency Safeguarding and Early Help and Keighley Pilot: Proof of Concept.

·         The list of Aims and Objectives of the project were detailed at Appendix A to the Document.

·         Similar work had been undertaken in other authorities and had contributed to a number of benefits such as harmonising of resources and help in sharing of information between agencies.

·         The Out of Hours Vulnerability Unit would have a workable model in place by the end of March 2020; the One Front Door including Multi-agency Safeguarding and Early Help was expected to be delivered by October 2020.

·         The Terms of Reference, operation principles, membership and location base within the pilot area would be developed in time for the pilot to go live by March 2020 and the evaluation would commence in Summer 2020.

Members of the Board made the following comments:

·         With agencies working together would there be changes to the infrastructure such as ICT?

·         Needed to look at Living Well as well as Early Help; Keighley Pilot needed link into the Living Well project.

·         Work needed to build on what was already in place such as performance measures; Health and Care Partnership work; training; already working on developing Living Well Academies.

·         What were the outcomes and could they be measured? How would success be measured?

·         Needed to ensure all agencies were working to the same objectives.

·         How would members know if the project had made a difference?

·         What was the difference between Out of Hours and emergency?

·         Information sharing and protocols on sharing information was crucial.

·         Empowering front line staff and making changes happen was essential.

·         Keighley was chosen as the pilot as it was at the forefront of such work.

·         The work undertaken on the project so far should be commended.

·         As people continuously did not meet the criteria for statutory services the role of VCS and capacity building was essential.

·         Needed to ensure that the success of the work on the Keighley Pilot was rolled out to other parts of the district alongside the Keighley Pilot.

·         Were Born in Bradford involved?

·         Living Well needed to be a joint work stream in the Early Help and Prevention Programme Governance Structure.

·         In the Bradford District Partnership Governance arrangements, the Prevention and Early Help Programme Board should report to the Integration and Change Board and then the Health and Wellbeing Board through the ICB.

In response to the comments raised by Members it was reported that:

·         At the moment services would be using resources that agencies/organisations already had in place; there was a workshop taking place next week which would be looking at barriers to the work required; GP’s had been invited to the workshop; how we could improve out of hours service would be covered in the workshop.

·         There was a fundamental shift needed for children in relation to out of hours and returning children to universal provision rather than high need/cost provision;  calling on a broader range of out of hours services would be extremely useful.

·         Emergency was immediate crisis and Out of Hours was dealing with broader issues.

·         The outcome of the evaluation in terms of what was working and what was not would be reported to the Board at a future date.

·         Born in Bradford was involved in the evaluation.

Resolved-

That the Board supports:

·         The formation of a District wide out-of-hours co-ordinated function.

·         The formation of a District Wide all age “front door” hub.

·         A pilot to be run in the Keighley area with the creation of a locally based all age Prevention and Early Help Centre which will have 3 related work streams, Place, People and developing integrated locality services. This  will then be evaluated with a view to rolling it out to other parts of the District alongside the Keighley pilot.

·         That in terms of the Early Help and Prevention Programme Governance the Prevention and Early Help Programme Board report to ICB (Integration and Change Board) and then the Health and Wellbeing Board through the ICB.

·         A commitment to supporting the Early Help and Prevention project.

Action:           Chief Executive